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5MJ-32402-95455

2 vaccinations 7 coded responses 12 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
770 / TX
Registered
2021-05-31
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-28
    Dose 1 — Moderna
  2. 2021-05-31
    Registered in v-safe
  3. 2021-05-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Fatigue, Headache, Injection site pain, Nausea, Oedema peripheral, Pyrexia — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Swelling under my arm. I had these symptoms on 5/29/21 and 5/30/21: mild headache, mild fever, soreness at the injection site, chills, mild nausea, and fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-06-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oedema peripheral — Feeling: Fair
    Free text: I have swelling under my left arm. That is the arm the shot was given. If it doesn't go down, I will i will make an appointment to see the doctor.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oedema peripheral — Feeling: Good
    Free text: I have swelling under my left arm, which is the arm I received the vaccine shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-06-25
    Dose 2 — Moderna
  8. 2021-06-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Headache, Injection site pain, Nausea, Pyrexia — Feeling: Good
    Free text: The day after my 2nd vaccination, I felt nauseous, had a headache, chills. fever, and sore arm where injection was given.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast discomfort, Feeling hot — Feeling: Fair
    Free text: My left breast has been feeling internally warm since I've gotten my first vaccination shot in my left arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair
    Free text: Im having the same issue today that I had yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-07-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling hot — Feeling: Good
    Free text: My left breast has been feeling internally warm since I've gotten my first vaccination shot in my left arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-07-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-28Moderna
22021-06-25Moderna No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-31

Systemic reaction (other): Swelling under my arm. I had these symptoms on 5/29/21 and 5/30/21: mild headache, mild fever, soreness at the injection site, chills, mild nausea, and fatigue.

2021-06-01

Systemic reaction (other): I have swelling under my left arm. That is the arm the shot was given. If it doesn't go down, I will i will make an appointment to see the doctor.

2021-06-02

Systemic reaction (other): I have swelling under my left arm, which is the arm I received the vaccine shot.

Release 9 — days 1–6 daily, dose 2

2021-06-28

Systemic reaction (other): The day after my 2nd vaccination, I felt nauseous, had a headache, chills. fever, and sore arm where injection was given.

2021-06-29

Systemic reaction (other): My left breast has been feeling internally warm since I've gotten my first vaccination shot in my left arm.

2021-06-30

Systemic reaction (other): Im having the same issue today that I had yesterday.

2021-07-01

Systemic reaction (other): My left breast has been feeling internally warm since I've gotten my first vaccination shot in my left arm.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SROBreast discomfort ✓ ✓ ○
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release